Page 268 - كتاب تمريض نسا الاكتروني

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 The Lochia usually ceases by 3 weeks. Persistence of red lochia occurs in

subinvolution. Offensive lochia indicates infection but in severe infection

with septicemia the lochia is scanty and not offensive.

Classification of lochia according to the amount:

a. Scant lochia: less than 2-5 cm blood on the perineal pad.

b. Light or mild lochia: less than 10cm blood on the perineal pad\hrs.

c. Moderate lochia: less than 15cm stain perineal pad\hrs.

d. Heavy lochia: 1 saturated pad\hrs.
e. Sever lochia : more than 1 saturated pad \hrs.

Assessment:

a. Rubra is a bright red discharge that occurs from delivery day to day 4.

b. Serosa is brownish pink discharge that occurs from days 5 to 10.

c. Alba is white discharge that occurs from days 10 to 14.

d. The discharge should smell like normal menstrual flow.

e. Discharge decreases daily in amount.

f. Discharge may be increase with ambulation.

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